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    Risk, demand and capacity in adult specialist eating disorder services in the South of England – before and since Covid-19

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    Date
    2020-12
    Author
    Ayton, Agnes
    Viljoen, David
    Ryan, Sharon
    Ford, Duncan
    Metadata
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    Citation
    Agnes Ayton, David Viljoen, Sharon Ryan, Ali Ibrahimt, Duncan Ford. Risk, demand and capacity in adult specialist eating disorder services in the South of England – before and since Covid-19. https://psyarxiv.com/
    Abstract
    Aims and Method: This is a longitudinal cohort study describing the demand and capacity for specialist inpatient treatment of patients with severe eating disorders covering a population of 3.5 million. We compared the impact of the pandemic and the outcomes between different inpatient services. Results: Between July 2018 and 1 November 2020 there were 293 referrals. 97% were female. 93% had a diagnosis of anorexia nervosa. 19.5% of referrals were below BMI 13, and a further 40% had extreme malnutrition. Referrals and emergency admissions to acute hospitals have increased by 20% since the pandemic. Waiting times have doubled from 33 to 67 days. A novel integrated CBTE model has shown better outcomes and shorter length of stay compared to traditional eclectic treatment. Clinical Implications:The pandemic has worsened the mismatch of demand and capacity, causing increasing serious risks and this needs to be addressed as a matter of urgency.
    Description
    Preprint freely available online.
    URI
    https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/689
    Published online at:
    https://doi.org/10.31234/osf.io/z76qj
    Collections
    • Eating Disorders [39]
    • Nursing Research [84]

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